Gentiva® Health Services Reports Third Quarter 2013 Results

Announces One Gentiva Initiative

Nov 05, 2013, 07:00 ET from Gentiva Health Services, Inc.

ATLANTA, Nov. 5, 2013 /PRNewswire/ -- Gentiva Health Services, Inc. (NASDAQ: GTIV), the largest provider of home health and hospice services in the United States based on revenue, today reported third quarter 2013 results.

On October 18, 2013, Gentiva announced the closing of its acquisition of Harden Healthcare Holdings, Inc. ("Harden"). Under the terms of the merger agreement, Gentiva acquired Harden's home health, hospice and community care businesses. Harden's existing shareholders retained the company's long-term care business. Harden's results will be included in Gentiva's financial results beginning in the fourth quarter of 2013, commencing from the acquisition date.

Additionally, following quarter-end, the Company announced a corporate restructuring initiative, referred to as "One Gentiva", to better align its home health, hospice and community care businesses under a common regional management structure. One Gentiva was developed to enable the Company to provide a seamless continuum of care for its patients, families and referral sources, while also streamlining the Company's management organization to meet reimbursement challenges.

Quarterly highlights include:

  • Net revenues of $410.5 million.
  • Adjusted income attributable to Gentiva shareholders per diluted share of $0.15.
  • Adjusted EBITDA of $35.3 million.

Third quarter 2013 financial highlights include:

  • Net revenues of $410.5 million, a decrease of 3.3% compared to $424.4 million for the quarter ended September 30, 2012. During the quarter ended September 30, 2013, net revenues were negatively impacted by the 2013 home health Medicare rate reduction, the 2% sequestration rate cut on our Medicare-based revenues and the sale or closure of branches in the prior year. Net revenues included home health episodic revenues of $206.9 million, flat compared to $206.4 million in the 2012 third quarter. Hospice revenues were $175.6 million, a decrease of 7.5% compared to $189.8 million in the 2012 third quarter. Hospice represented 42.8% of total net revenues in the third quarter of 2013, compared to 44.7% in the 2012 third quarter.
  • Income attributable to Gentiva shareholders of $3.7 million, or $0.12 per diluted share, compared to a loss of $0.5 million, or $0.02 per diluted share, for the third quarter of 2012.
  • Adjusted income attributable to Gentiva shareholders of $4.8 million, compared with $9.9 million in the comparable 2012 period. On a diluted per share basis, adjusted income attributable to Gentiva shareholders was $0.15 for the third quarter of 2013 as compared to $0.32 for the third quarter of 2012.
  • Adjusted earnings before interest, taxes, depreciation and amortization (Adjusted EBITDA) was $35.3 million in the third quarter of 2013 as compared to $46.1 million in the third quarter of 2012. Adjusted EBITDA as a percentage of net revenues was 8.6% in the third quarter of 2013 versus 10.9% in the prior year period.

Adjusted income attributable to Gentiva shareholders and Adjusted EBITDA exclude charges related to restructuring, legal settlements, acquisition and integration activities and other special items.

Highlights for the nine months ended September 30, 2013 include:

  • Net revenues of $1,240.5 million, a decrease of 3.7% as compared to $1,287.8 million for the prior year period. Net revenues included home health episodic revenues of $621.0 million, compared to $624.5 million in the comparable 2012 period. Hospice revenues were $534.4 million, compared to $577.5 million in the comparable 2012 period.
  • Loss attributable to Gentiva shareholders of $197.1 million, or $6.38 per diluted share. Income attributable to Gentiva shareholders in the comparable 2012 period was $18.2 million, or $0.60 per diluted share.
  • Adjusted income attributable to Gentiva shareholders of $18.7 million, compared with $28.0 million in the 2012 period. On a diluted per share basis, adjusted income attributable to Gentiva shareholders was $0.60 as compared to $0.91 in the corresponding period of 2012, prior to the $0.03 add-back in the first quarter of 2012 for credit agreement amendment expenses.
  • Adjusted earnings before interest, taxes, depreciation and amortization (Adjusted EBITDA) was $113.4 million as compared to $136.3 million in the 2012 period. Adjusted EBITDA as a percentage of net revenues was 9.1% versus 10.6% in the prior-year period.

Cash Flow and Balance Sheet Highlights

At September 30, 2013, the Company reported cash and cash equivalents of $183.3 million, down from $185.1 million at June 30, 2013. Total outstanding debt was $910.2 million as of September 30, 2013. Total Company days sales outstanding, or DSO, was 50 days at September 30, 2013, down 2 days from June 30, 2013.

For the third quarter of 2013, net cash provided by operating activities was $8.4 million, compared to $25.5 million in the prior year period for 2012. Free cash flow was $1.7 million for the third quarter of 2013, compared to $23.2 million in the prior year period. Free cash flow is calculated as net cash provided by operating activities less capital expenditures.

Full-Year 2013 Outlook

Including the estimated operating results of the Harden acquisition and the potential fourth quarter 2013 impact of the 2014 Medicare home health and hospice reimbursement rules, the Company now expects full-year net revenues to be in the range of $1.72 billion to $1.74 billion. Additionally, the Company expects 2013 adjusted income attributable to Gentiva shareholders to be in the range of $0.90 to $1.00 on a diluted per share basis. The final results for the fourth quarter of 2013 will be subject to a number of factors including the impact from closed or sold locations, the timing of synergies, the timing of branch consolidations, the timing of One Gentiva initiatives, final results from the Harden business valuation, and the final balance sheet accounting treatment of various items related to the Harden consolidation. The Company expects to take restructuring charges in the fourth quarter of 2013 associated with the acquisition and other initiatives.

Non-GAAP Financial Measures

The information provided in this press release includes certain non-GAAP financial measures as defined under SEC rules. In accordance with SEC rules, the Company has provided, in the supplemental information and the footnotes to the tables, a reconciliation of those historical measures to the most directly comparable GAAP measures.

A reconciliation of adjusted income attributable to Gentiva shareholders to net income, the most directly comparable GAAP measure, is not accessible on a forward-looking basis without unreasonable effort due to the inherent difficulties in predicting the costs of restructuring, legal settlements and merger and acquisition activities and the impact of any future acquisitions or divestitures, which can fluctuate significantly and may have a significant impact on net income.

Conference Call and Webcast Details

The Company will comment further on its third quarter 2013 results during its conference call and live webcast to be held Tuesday, November 5, 2013 at 9:00 a.m. Eastern Time. To participate in the call from the United States, Canada or an international location, dial (973) 935-2408 and reference call #90741514. The webcast is an audio-only, one-way event. Webcast listeners who wish to ask questions must participate in the conference call. Log onto http://investors.gentiva.com/events.cfm to hear the webcast. A replay of the call will be available on November 5 and will remain available continuously through November 12. To listen to a replay of the call from the United States, Canada or international locations dial (800) 585-8367 or (404) 537-3406 and enter the following PIN at the prompt: 90741514. Visit http://investors.gentiva.com/events.cfm to access the webcast archive. This press release is accessible at http://investors.gentiva.com/releases.cfm and a transcript of the conference call will be posted on the Company's website.

About Gentiva Health Services, Inc.

Gentiva Health Services, Inc. is the nation's largest provider of home health and hospice services based on revenue, delivering innovative, high quality care to patients across the United States. Gentiva is a single source for skilled nursing; physical, occupational, speech and neurorehabilitation services; hospice services; social work; nutrition; disease management education; help with daily living activities; and other therapies and services. GTIV-G

(unaudited tables and notes follow)

Gentiva Health Services, Inc. and Subsidiaries

Condensed Consolidated Financial Statements and Supplemental Information

(Unaudited)

(in 000's, except per share data)

3rd Quarter

Nine Months

2013

2012

2013

2012

Condensed Statements of Comprehensive Income (Loss)

Net revenues

$

410,492

$

424,444

$

1,240,507

$

1,287,787

Cost of services sold

220,478

223,889

660,998

679,487

Gross profit

190,014

200,555

579,509

608,300

Selling, general and administrative expenses

(160,820)

(161,207)

(482,634)

(498,842)

Goodwill and other long-lived asset impairment

(19,132)

(224,320)

(19,132)

Gain on sale of businesses

5,447

Interest income

639

653

2,066

2,011

Interest expense and other

(22,981)

(23,547)

(68,849)

(69,062)

Income (loss) before income taxes and equity in net earnings

of CareCentrix

6,852

(2,678)

(194,228)

28,722

Income tax (expense) benefit

(3,044)

1,297

(2,457)

(10,878)

Equity in net earnings of CareCentrix

1,006

1,006

Net income (loss)

3,808

(375)

(196,685)

18,850

Less: Net income attributable to noncontrolling interests

(88)

(148)

(425)

(624)

Net income (loss) attributable to Gentiva shareholders

$

3,720

$

(523)

$

(197,110)

$

18,226

Total comprehensive income (loss)

$

3,808

$

(375)

$

(196,685)

$

18,850

Earnings per Share

Net income (loss) attributable to Gentiva shareholders:

Basic

$

0.12

$

(0.02)

$

(6.38)

$

0.60

Diluted

$

0.12

$

(0.02)

$

(6.38)

$

0.60

Weighted average shares outstanding:

Basic

31,037

30,423

30,921

30,496

Diluted

31,532

30,423

30,921

30,612

(in 000's)

Condensed Balance Sheets

ASSETS

Sept 30, 2013

Dec 31, 2012

Cash and cash equivalents

$

183,294

$

207,052

Accounts receivable, net (A)

242,458

251,080

Deferred tax assets

8,476

12,263

Prepaid expenses and other current assets

44,827

45,632

Total current assets

479,055

516,027

Notes receivable from CareCentrix

28,471

28,471

Fixed assets, net

41,425

41,414

Intangible assets, net

193,235

193,613

Goodwill

438,436

656,364

Other assets

71,446

75,045

Total assets

$

1,252,068

$

1,510,934

LIABILITIES AND EQUITY

Current portion of long-term debt

$

18,750

$

25,000

Accounts payable

11,974

13,445

Payroll and related taxes

33,244

45,357

Deferred revenue

39,026

37,444

Medicare liabilities

14,966

27,122

Obligations under insurance programs

62,091

56,536

Accrued nursing home costs

20,858

18,428

Other accrued expenses

39,263

66,567

Total current liabilities

240,172

289,899

Long-term debt

891,432

910,182

Deferred tax liabilities, net

31,734

42,165

Other liabilities

41,851

33,988

Total equity

46,879

234,700

Total liabilities and equity

$

1,252,068

$

1,510,934

Common shares outstanding

31,389

30,748

(A) Accounts receivable, net included an allowance for doubtful accounts of $9.0 million and $8.8

million at September 30, 2013 and December 31, 2012, respectively.

(in 000's)

Nine Months

Condensed Statements of Cash Flows

2013

2012

OPERATING ACTIVITIES:

Net (loss) income

$

(196,685)

$

18,850

Adjustments to reconcile net (loss) income to net cash provided by operating activities:

Depreciation and amortization

13,932

21,375

Amortization and write-off of debt issuance costs

9,687

10,391

Provision for doubtful accounts

3,766

4,183

Equity-based compensation expense

5,984

5,722

Windfall tax benefits associated with equity-based compensation

(92)

Goodwill and other long-lived asset impairment

224,320

19,132

Gain on sale of businesses

(5,447)

Equity in net earnings of CareCentrix

(1,006)

Deferred income tax (benefit) expense

(7,066)

27,700

Changes in assets and liabilities, net of effects from acquisitions and dispositions:

Accounts receivable

5,126

31,751

Prepaid expenses and other current assets

62

(24,591)

Current liabilities

(43,024)

(40,089)

Other, net

2,559

6,670

Net cash provided by operating activities

18,569

74,641

INVESTING ACTIVITIES:

Purchase of fixed assets

(14,214)

(9,235)

Proceeds from sale of businesses, net of cash transferred

508

5,720

Acquisition of business, net of cash acquired

(4,638)

(22,520)

Net cash used in investing activities

(18,344)

(26,035)

FINANCING ACTIVITIES:

Proceeds from issuance of common stock

2,459

2,421

Windfall tax benefits associated with equity-based compensation

92

Payment of contingent consideration accrued at acquisition date

(1,675)

Repayment of long-term debt

(25,000)

(50,000)

Repurchase of common stock

(4,974)

Debt issuance costs

(449)

(4,125)

Minority interest capital contribution

1,600

Distribution to minority interests

(563)

(685)

Other

(447)

(106)

Net cash used in financing activities

(23,983)

(57,469)

Net change in cash and cash equivalents

(23,758)

(8,863)

Cash and cash equivalents at beginning of period

207,052

164,912

Cash and cash equivalents at end of period

$

183,294

$

156,049

SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:

Interest paid

$

68,374

$

67,735

Income taxes paid

$

924

$

4,260

Nine Months

A reconciliation of Free cash flow to Net cash provided by operating activities follows:

2013

2012

Net cash provided by operating activities

$

18,569

$

74,641

Less: Purchase of fixed assets

(14,214)

(9,235)

Free cash flow

$

4,355

$

65,406

(in 000's)

Supplemental Information

3rd Quarter

Nine Months

2013

2012

2013

2012

Segment Information (2)

Net revenues

Home Health

$

234,864

$

234,670

$

706,141

$

710,321

Hospice

175,628

189,774

534,366

577,466

Total net revenues

$

410,492

$

424,444

$

1,240,507

$

1,287,787

Operating contribution (4)

Home Health

$

31,922

$

32,268

$

92,027

$

94,527

Hospice

22,365

34,798

76,223

102,426

Total operating contribution

54,287

67,066

168,250

196,953

Corporate administrative expenses

(20,672)

(21,065)

(57,443)

(66,120)

Goodwill and other long-lived asset impairment (5)

(19,132)

(224,320)

(19,132)

Depreciation and amortization

(4,421)

(6,653)

(13,932)

(21,375)

Gain on sale of businesses (6)

5,447

Interest expense and other, net (7)

(22,342)

(22,894)

(66,783)

(67,051)

Income (loss) before income taxes and equity in net earnings of

CareCentrix

$

6,852

$

(2,678)

$

(194,228)

$

28,722

Home Health operating contribution margin %

13.6%

13.8%

13.0%

13.3%

Hospice operating contribution margin %

12.7%

18.3%

14.3%

17.7%

3rd Quarter

Nine Months

Net Revenues by Major Payer Source:

2013

2012

2013

2012

Medicare

Home Health

$

191,833

$

184,980

$

577,686

$

561,751

Hospice

163,735

177,437

498,797

538,990

Total Medicare

355,568

362,417

1,076,483

1,100,741

Medicaid and local government

17,431

19,154

54,364

56,873

Commercial insurance and other:

Paid at episodic rates

15,094

21,442

43,322

62,728

Other

22,399

21,431

66,338

67,445

Total commercial insurance and other

37,493

42,873

109,660

130,173

Total net revenues

$

410,492

$

424,444

$

1,240,507

$

1,287,787

3rd Quarter

Nine Months

A reconciliation of Adjusted EBITDA to Net income (loss)

attributable to Gentiva shareholders follows:

2013

2012

2013

2012

Adjusted EBITDA (3)

$

35,314

$

46,054

$

113,391

$

136,302

Cost savings, restructuring, legal settlement and acquisition and

integration costs (4)

(1,699)

(53)

(2,584)

(5,469)

Goodwill and other long-lived asset impairment (5)

(19,132)

(224,320)

(19,132)

Gain on sale of businesses (6)

5,447

EBITDA (4)

33,615

26,869

(113,513)

117,148

Depreciation and amortization

(4,421)

(6,653)

(13,932)

(21,375)

Interest expense and other, net (7)

(22,342)

(22,894)

(66,783)

(67,051)

Income (loss) before income taxes and equity in net earnings of

CareCentrix

6,852

(2,678)

(194,228)

28,722

Income tax (expense) benefit (8)

(3,044)

1,297

(2,457)

(10,878)

Equity in net earnings of CareCentrix

1,006

1,006

Net income (loss)

3,808

(375)

(196,685)

18,850

Less: Net income attributable to noncontrolling interests

(88)

(148)

(425)

(624)

Net income (loss) attributable to Gentiva shareholders

$

3,720

$

(523)

$

(197,110)

$

18,226

A reconciliation of Adjusted income attributable to Gentiva shareholders to Net income (loss) (all items presented are net of tax): (3)

3rd Quarter

Nine Months

2013

2012

2013

2012

Adjusted income attributable to Gentiva shareholders

$

4,752

$

9,854

$

18,658

$

27,994

Cost savings, restructuring, legal settlement and acquisition and

integration costs (4)

(1,032)

(31)

(1,570)

(3,246)

Goodwill and other long-lived asset impairment (5)

(11,352)

(214,198)

(11,352)

Gain on sale of businesses (6)

3,248

Gain on sale of CareCentrix included in equity in net earnings of

CareCentrix, net of tax

1,006

1,006

Tax valuation allowance on OIG legal settlement

576

Income (loss) attributable to Gentiva shareholders

3,720

(523)

(197,110)

18,226

Add back: Net income attributable to noncontrolling interests

88

148

425

624

Net income (loss)

$

3,808

$

(375)

$

(196,685)

$

18,850

Adjusted income attributable to Gentiva shareholders per

diluted share

$

0.15

$

0.32

$

0.60

$

0.91

Cost savings, restructuring, legal settlement and acquisition and

integration costs (4)

(0.03)

(0.05)

(0.10)

Goodwill and other long-lived asset impairment (5)

(0.38)

(6.93)

(0.37)

Gain on sale of businesses (6)

0.11

Gain on sale of CareCentrix included in equity in net earnings of

CareCentrix, net of tax

0.03

0.03

Tax valuation allowance on OIG legal settlement

0.02

Impact of exclusion of dilutive shares due to the anti-dilutive

effect of the shares

0.01

Income (loss) attributable to Gentiva shareholders per diluted

share

0.12

(0.02)

(6.38)

0.60

Add back: Net income attributable to noncontrolling interests

0.01

0.02

0.02

Net income (loss) per diluted share

$

0.12

$

(0.01)

$

(6.36)

$

0.62

Operating Metrics

3rd Quarter

Nine Months

2013

2012

2013

2012

Home Health

Episodic admissions

48,100

48,600

146,700

148,800

Total episodes

70,700

71,300

213,900

216,000

Episodes per admission

1.47

1.47

1.46

1.45

Revenue per episode

$

2,930

$

2,900

$

2,900

$

2,900

Hospice

Admissions

11,800

12,200

37,500

38,900

Average daily census

12,600

13,600

12,700

13,700

Patient days (in thousands)

1,158

1,247

3,468

3,746

Revenue per patient day

$

152

$

152

$

154

$

154

Length of stay at discharge (in days)

100

101

97

97

Services by patient type:

Routine

98%

98%

98%

98%

General Inpatient & Other

2%

2%

2%

2%

Notes:

1. The comparability between reporting periods has been affected by the following items:

a. The Company completed several acquisitions, closed a significant number of branch operations and sold a number of operating units affecting the reporting periods presented as follows:

  • During the second quarter of 2013, the Company completed the acquisition of Hope Hospice.
  • During the third quarter of 2012, the Company completed the acquisitions of Family Home Care, North Mississippi Hospice and Advocate Hospice.
  • During the fourth quarter of 2012, the Company sold its Phoenix area hospice operations. During the second quarter of 2012, the Company sold eight home health branches and four hospice branches in Louisiana. During the first quarter of 2012, the Company continued a comprehensive review of its branch structure, support infrastructure and other significant expenditures in order to reduce its ongoing operating costs given the challenging rate environment facing the Company. As a result of this effort, the Company closed or divested 4 home health branches and completed significant reductions in staffing levels in regional, area and corporate support functions. As a result of this activity, the Company's revenue for the third quarter and first nine months of 2013 were negatively impacted by approximately $2 million and $16 million, respectively, as compared to the third quarter and first nine months of 2012.

b. The first nine months of 2013 included 273 days of activity as compared to 274 days for the first nine months of 2012 due to 28 days in February 2013 versus 29 days in February 2012.

2. The Company's senior management evaluates performance and allocates resources based on operating contributions of the operating segments, which exclude corporate expenses, depreciation, amortization, and interest expense and other (net), but include revenues and all other costs directly attributable to the specific segment.

3. Adjusted EBITDA, a non-GAAP financial measure, is defined as income before interest expense and other (net of interest income), income taxes, depreciation and amortization and excluding charges relating to (i) cost savings and other restructuring, legal settlements, and acquisition and integration activities, (ii) gain on sale of businesses and (iii) goodwill and other long-lived asset impairment. Management uses Adjusted EBITDA to evaluate overall performance and compare current operating results with other companies in the healthcare industry. Adjusted EBITDA should not be considered in isolation or as a substitute for income from continuing operations, net income, operating income or cash flow statement data determined in accordance with accounting principles generally accepted in the United States. Because Adjusted EBITDA is not a measure of financial performance under accounting principles generally accepted in the United States and is susceptible to varying calculations, it may not be comparable to similarly titled measures in other companies.

Adjusted income attributable to Gentiva shareholders is defined as income attributable to Gentiva shareholders, excluding (i) tax reserves relating to the OIG settlement, (ii) gain on sale of businesses, (iii) charges relating to cost savings and other restructuring, legal settlements, and acquisition and integration activities and (iv) goodwill and other long-lived asset impairment.

4. Operating contribution and EBITDA included charges relating to cost savings and other restructuring, legal settlements and acquisition and integration activities of $1.7 million and $2.6 million for the third quarter and first nine months of 2013, respectively. For the third quarter and first nine months of 2012, the Company recorded charges of $0.1 million and $5.5 million, respectively.

For the third quarter and first nine months of 2013, the Company recorded cost savings and other restructuring costs of $0.1 million and $0.3 million, respectively. For the third quarter and first nine months of 2013, acquisition and integration activities of $1.6 million and $2.3 million, respectively, primarily related to the Company's acquisition of Harden Healthcare Holdings, Inc.. These costs consisted of legal, accounting and other professional fees and expenses.

For the third quarter and first nine months of 2012, the Company recorded (i) restructuring costs of $0.1 million and $1.5 million, respectively, and (ii) legal settlement reserves of $5.0 million, associated with the tentative settlement of the Wilkie wage and hour lawsuit, partially offset by a reduction in acquisition and integration costs of $1.0 million, primarily relating to favorable lease settlements associated with the acquisition of Odyssey HealthCare, Inc.

These charges were reflected as follows for segment reporting purposes (dollars in millions):

3rd Quarter

Nine Months

2013

2012

2013

2012

Home Health

$

0.1

$

$

0.1

$

5.7

Hospice

0.7

0.1

Corporate expenses

1.6

0.1

1.8

(0.3)

Total

$

1.7

$

0.1

$

2.6

$

5.5

5. During the first nine months of 2013, the Company recorded non-cash charges of $224.3 million related to goodwill and other long-lived assets.

At March 31, 2013, the Company performed an interim impairment test of its Hospice reporting unit due to lower than expected average daily census and higher than expected discharge rates during the quarter. Based on the results of the interim impairment test, the Company's Hospice reporting unit had an estimated fair value of approximately $555 million. As such the Company recorded a non-cash impairment charge relating to goodwill of approximately $220.8 million. As part of that analysis, the Company reviewed the valuation of its owned real estate utilized in the Hospice business. The analysis indicated that two of the Company's hospice inpatient units had estimated fair values lower than their carrying values and, as such, the Company recorded a non-cash impairment charge of approximately $1.9 million.

In addition, the Company conducted an evaluation of the various systems used to support its field operations. In connection with that review, the Company made a strategic decision to replace its business intelligence software platform and, as such, recorded a non-cash impairment charge, related to developed software, of approximately $1.6 million.

During the third quarter of 2012, the Company initiated an effort to re-brand all of its branch operations under the single Gentiva name. In connection with this re-branding effort, the Company recorded a $19.1 million non-cash write-off of existing trade name balances for the third quarter and first nine months of 2012.

6. During the second quarter of 2012, the Company completed the sale of eight home health branches and four hospice branches in Louisiana, pursuant to an asset purchase agreement, for total consideration of approximately $6.4 million.

Effective May 31, 2012, the Company completed the sale of its Gentiva consulting business to MP Healthcare Partners, LLC pursuant to an asset purchase agreement, for cash consideration of approximately $0.3 million. In connection with the sales, the Company recorded a gain on sale of businesses of approximately $5.4 million for the first nine months of 2012.

7. Interest expense and other, net for the first nine months of 2012 included charges of approximately $0.5 million relating to the write-off of deferred debt issuance costs associated with Amendment No. 3 to the Company's credit agreement.

8. The Company's effective tax rate was a tax provision of 44.4% and a negative 1.3% for the third quarter and first nine months of 2013, respectively, as compared to a tax benefit of 48.4% and a tax provision of 37.9% for the third quarter and first nine months of 2012, respectively. For the third quarter and first nine months of 2013, the Company recorded an income tax provision of $3.0 million and $2.5 million, respectively. The Company is recording tax expense on a book loss because the majority of goodwill impairment booked in the first quarter of 2013 was nondeductible for tax resulting in a small tax benefit being booked on the goodwill impairment.

During the first nine months of 2013, the Company recorded non-cash impairment charges of $224.3 million related to goodwill and other long-lived assets (see note 5). Excluding the impact of the impairment charges, the Company's effective tax rate would have been 41.2% for the first nine months of 2013.

During the first nine months of 2012, the Company recorded a favorable tax reserve adjustment upon resolution of an uncertain tax position associated with the deductibility of a portion of the Company's settlement payment to the Office of the Inspector General. In addition, for the third quarter and first nine months of 2012, the Company recorded non-cash impairment charges of $19.1 million associated with the write-off of existing trade name balances. Excluding the impact of the special items noted above, the Company's effective tax rate would have been 40.8% for the first nine months of 2012.

Forward-Looking Statements

Certain statements contained in this news release, including, without limitation, statements containing the words "believes," "anticipates," "intends," "expects," "assumes," "trends" and similar expressions, constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are based upon the Company's current plans, expectations and projections about future events. However, such statements involve known and unknown risks, uncertainties and other factors that may cause the actual results, performance or achievements of the Company to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. These factors include, among others, the following: economic and business conditions; demographic changes; changes in, or failure to comply with, existing governmental regulations; the impact on our Company of healthcare reform legislation and its implementation through governmental regulations; legislative proposals for healthcare reform; changes in Medicare, Medicaid and commercial payer reimbursement levels; the outcome of any inquiries into the Company's operations and business practices by governmental authorities; compliance with any corporate integrity agreement affecting the Company's operations; effects of competition in the markets in which the Company operates; liability and other claims asserted against the Company; ability to attract and retain qualified personnel; ability to access capital markets; availability and terms of capital; loss of significant contracts or reduction in revenues associated with major payer sources; ability of customers to pay for services; business disruption due to natural disasters, pandemic outbreaks, terrorist acts or cyber-attacks; availability, effectiveness, stability and security of the Company's information technology systems; ability to successfully integrate the operations of acquisitions the Company may make and achieve expected synergies and operational efficiencies within expected time-frames; ability to maintain compliance with its financial covenants under the Company's credit agreement; effect on liquidity of the Company's debt service requirements; and changes in estimates and judgments associated with critical accounting policies and estimates. For a detailed discussion of certain of these and other factors that could cause actual results to differ from those contained in this news release, please refer to the Company's various filings with the Securities and Exchange Commission, including the "Risk Factors" section contained in the Company's annual report on Form 10-K for the year ended December 31, 2012.

Financial and Investor Contact: Eric Slusser 770-951-6101 eric.slusser@gentiva.com or John Mongelli 770-951-6496 john.mongelli@gentiva.com

Media Contact: Scott Cianciulli Brainerd Communicators 212-986-6667 cianciulli@braincomm.com

SOURCE Gentiva Health Services, Inc.



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